POLICY RECOMMENDATIONS: HEALTH & DOMESTIC VIOLENCE
ORANGE COUNTY WOMEN’S HEALTH POLICY SUMMIT OCTOBER 17, 2014
HDV TASK FORCE BACKGROUND LAUNCHED: March 2013 CO-LEADS: OCWHP and 4 DV Organizations
Human Options Interval House
Laura’s House WTLC
PURPOSE: • Raise profile of domestic violence as health issue • Connect healthcare with other sectors that serve DV victims in Orange County
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HEALTH & DOMESTIC VIOLENCE TASK FORCE (ACTIVE PARTICIPANTS IN PLANNING) • • • • • • • • • • • • • •
Access CA Services AAP CalOptima Casa de la Familia Coalition of Orange County Community Health Centers Community Service Programs CSU Fullerton Hoag Hospital Horizon Cross-Cultural Center Human Options Interval House Kaiser Permanente Laura's House MOMS Orange County
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Newport Mesa Irvine Interfaith Council OC Health Care Agency OC Family Justice Center OC Medical Association OC Social Services Agency OC Women’s Health Project Orangewood Children’s Foundation Share Our Selves SAHARA UC Irvine UC Irvine Medical Center WTLC 2-1-1 Orange County
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OVERVIEW OF DOMESTIC VIOLENCE DEFINITION: Pattern of abusive behavior in any relationship • Used to gain or maintain power and control over intimate partner • Can be physical, sexual, emotional, economic, or psychological • Includes actions and threats (DOJ OVW, CDC, WHO)
NATIONALLY: Between 1/4 and 1/3 of U.S. women report being physically or sexually abused by a partner (CDC NISVS 2010)
ORANGE COUNTY: 26% of women have experienced physical or sexual violence by an intimate partner since age 18 (CHIS 2009)
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HDV TASK FORCE PRIORITIES
SYSTEMS GAPS: Between healthcare sector and shelter, social, legal, law enforcement and other services (many already coordinated) that support DV victims and their families in OC
SCREENING GAPS: Local hospitals and community health centers not consistently screening or counseling for DV
OPPORTUNITIES: • ACA covers screening and counseling for DV • California residents want their healthcare providers to ask about DV (BSCF Survey 2014)
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HDV PLANNING GRANT FUNDER: Blue Shield of California Foundation PURPOSE: To establish a vision for a countywide,
integrated and collaborative Health & Domestic Violence System in Orange County
SIX-MONTH PLANNING PROJECT (October 2013 – March 2014) • • • •
Engage key stakeholders Needs assessment, literature scan & best practices Strategy development Recommendations 6
HDV NEEDS ASSESSMENT • Secondary Data Sources • Task Force Member Summaries
Surveys Existing Data Focus Group
Interviews Surveys
• Nonprofit participants (7) • 90 minutes • Social service & healthcare leaders (13) • Average of 48 minutes • Healthcare Providers (47) • Social Service Providers (148) • DV Shelter Clients (53)
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FINDINGS OF HDV NEEDS ASSESSMENT AWARENESS AND EDUCATION:
ENGAGEMENT AND SCREENING:
• Increase provider and public awareness of DV as health priority • Create training opportunities • Overcome cultural norm of fear/shame
• Equip providers with training, tools to engage clients/ patients about DV • Encourage HCP to screen for DV and DV providers to screen for health issues
REFERRALS: • Maintain updated list of resources and facilitate warm hand-offs • Reduce barriers to access • Build capacity for mental health and substance abuse services for DV victims
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VISION: COUNTYWIDE, INTEGRATED & COLLABORATIVE HDV SYSTEM IN OC
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STRATEGY 1: CROSS-DISCIPLINARY TRAINING
On-site CDT for healthcare and social service providers Objective: To promote consistent DV screening, counseling, and referrals by HCP and SSP
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SAMPLE CDT TOPICS • • • • • • •
Cycle of violence Health impacts of DV Why and how to screen & counsel How and where to make referrals Limits of confidentiality & mandatory reporting Potential reimbursement Other resources for providers
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STRATEGY 2: CENTRAL CLEARINGHOUSE
Establish a comprehensive, up-to-date, and user-friendly Central Clearinghouse for resources and smooth referrals • Online Database • Telephone Helpline • Dedicated DV Webpage
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STRATEGY 3: PUBLIC HEALTH CAMPAIGN
PHC Message: • DV affects your health • You are not alone • Help is available from healthcare provider Objective: To increase awareness of DV as a health issue and reduce stigma around DV
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STRATEGY 4: MENTAL HEALTH & SUBSTANCE ABUSE
Assess the local need and the county’s capacity to deliver Mental Health & Substance Abuse services for domestic violence victims Objective: To facilitate and increase domestic violence victims’ access to MH/SA services
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COORDINATION & EVALUATION • • • • • • • •
Phasing of strategies Consistent branding and messaging Streamlined outreach and requests Cross-strategy collaboration Convening and stakeholder engagement Sustainability planning Data collection and sharing Evaluating for collective impact
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INVESTMENT FOR IMPLEMENTATION
LUCIA CORRAL PEÑA, JD Senior Program Officer, Blue Shield Against Violence
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HDV SYSTEM PROJECT 4 YEAR PROJECT (Oct 2014 – Sept 2018) PHASE 1:
Start-up and re-granting (7 months) RFP for Strategies 1-3 in January 2015
PHASE 2:
Strategy implementation (3 years)
PHASE 3:
Wrap-up, evaluation, dissemination (5 months)
ONGOING: Coordination, data collection, sustainability planning and evaluation
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QUESTIONS?
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THANK YOU HEALTH & DV POLICY BRIEF AVAILABLE www.ocwomenshealth.org/2014-policy-summit
CONTACT INFO Maricela Rios-Faust, LCSW Human Options
[email protected] Allyson W. Sonenshine, JD Orange County Women’s Health Project
[email protected] 19
